Pathogen-specific risk of reactive arthritis from bacterial causes of foodborne illness.

Porter, Chad K; Choi, Daniel; Riddle, Mark S · J Rheumatol · 2013

case_control · Level III

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Abstract

Reactive arthritis (ReA) is a sequelae of common bacterial infections of acute gastroenteritis. We assessed incidence of ReA following Campylobacter, Salmonella, Shigella, or Yersinia infection utilizing a U.S. Department of Defense medical database. Subjects with acute gastroenteritis attributed to these pathogens were matched with ≥ 4 unexposed subjects. Medical history was analyzed for 6 months postinfection to assess for incident ReA. A total of 1753 cases of gastroenteritis were identified. ReA incidence ranged from 0 to 4 per 100,000 person-years. These data are consistent with prior studies and highlight the need for continued primary prevention efforts.

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